医学模拟联合病案教学在急诊科进修医师培训中的应用  

Application of Medical Simulation Combined with Case-based Learning in Training Trainee Doctors in Emergency Department

作　　者：蒲丹[1] 唐怀蓉[2] 陈相军[3] 韩英[1] 贺漫清 赵蓉[1] 周舟[1] 马俊荣[1] 陈敏[3] 

机构地区：[1]四川大学华西医院临床技能中心,成都610041 [2]四川大学华西医院健康管理中心,成都610041 [3]四川大学华西医院医教部,成都610041

出　　处：《华西医学》2015年第6期1039-1041,共3页West China Medical Journal

基　　金：四川省科技厅课题(2014JY0189)~~

摘　　要：目的探讨医学模拟教学(MST)联合病案教学(CBL)在急诊科进修医师培训中的作用。方法选取2008年3月-2014年12月120名急诊科进修医师,将其随机分为MST联合CBL组和单纯CBL组,对两组进修医师分别实行MST联合CBL和单纯CBL培训。对其进行理论知识、实践操作、综合病例分析能力考核并采用问卷调查其学习效果。组间比较采用t检验。结果 MST联合CBL组理论知识、实践操作、综合病例分析能力和问卷调查成绩均明显高于单纯CBL组,差异有统计学意义(P<0.05)。结论 MST联合CBL在急诊科进修医师培训中具有可行性和较好的效果。Objective To investigate the effects of medical simulation （MST） combined with case-based learning （CBL） in training of trainee doctors in emergency department. Methods A total of 120 trainee doctors practicing in the emergency department between March 2008 and December 2014 were randomly divided into two groups： MST combined with CBL group and CBL group, who accepted MST combined with CBL training and merely CBL training, respectively. The training effects were evaluated in terms of theoretical knowledge, practical operation, comprehensive abilities of case analysis and questionnaire survey. The results were compared and analyzed with the t test. The P value less than 0.05 was a significant difference. Results Trainee doctors in MST combined with CBL group acquired higher scores in all of the indicators （P 〈 0.05）. Conclusion MST combined with CBL is a feasible method and has a better effect in training of trainee doctors in Emergency Department.

关 键 词：医学模拟教学 病案教学 急诊 进修医师 

分 类 号：G726[文化科学—成人教育学] R-4[文化科学—教育学]